Bullard, Melissa Ann
Bullard, Melissa Ann is an sole proprietor health care provider with primary practice located at 697 Hannah Ave Ste D , Traverse City MI 49686-3399. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bullard, Melissa Ann can be contacted via phone (231) 392-3611.Contact Information
Primary practice address
697 Hannah Ave Ste D
Traverse City MI 49686-3399
Phone: (231) 392-3611
Fax: (844) 213-1595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301012645 | Michigan |
Profile Details
| NPI number | 1851435721 |
|---|---|
| LBN Legal business name | Bullard, Melissa Ann |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Nov 21st, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851435721 | NPPES |
| Michigan | Other | 680B812170 | BCBSM |
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